Office Forms

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Office Forms

Well designed forms help make an office function more efficiently, improve the quality of medical care, and help educate patients. Designing a form is easy - but designing a great form takes a lot of time, effort, and thought.

Every occupational medicine practice has forms - and probably would benefit from more. Here you will find forms that others have used. Please contact us if you have forms you want to contribute.

Before implementing them the forms should be reviewed by your medical providers and legal consultant.

Vaccination Releases and Vaccine Information Sheets

Vaccine	Vaccination Release PDF Word		Vaccine Information Sheet * English Spanish
Anthrax	No	No	Yes	No
Haemophilus influenzae type B (Hib) Vaccine	No	No	Yes	No
Hepatitis A Vaccine	Yes	No	Yes	No
Hepatitis B Immunoglobulin	Yes	No	No	No
Hepatitis B Vaccine	Yes	No	Yes	Yes
Hepatitis B Declination	Yes	No	No	No
Meningococcal Vaccine	Yes	No	Yes	No
MMR Vaccine	Yes	No	Yes	No
Polio Vaccine - Inactivated	No	No	Yes	No
Polio Vaccine - Oral	No	No	Yes	No
Pneumococcal Vaccine - Oral	No	No	Yes	No
Rabies Vaccine	Yes	No	No	No
Rabies Immune Globulin	Yes	No	No	No
Tetanus-Diphtheria	Yes	No	Yes	Yes
Tetanus	Yes	No	Yes	No
Typhim	Yes	No	No	No
Varicella Vaccine	Yes	No	Yes	No
Yellow Fever	Yes	No	Yes	No
* It's The Law - Read about your legal obligation to hand out vaccine information sheets.